Principal Medicaid Pharmacy Strategist, PDL, Pricing & Contracting

Gainwell Technologies

. Support Medicaid Preferred Drug List (PDL) strategy through analysis of drug products, clinical criteria, utilization, pricing, and rebate opportunities .

Posted 10/23/2026full-timeRemote • Illinois • United StatesLead💰 $113,700 - $162,400 per yearWebsite

About the role

Key responsibilities & impact

Support Medicaid Preferred Drug List (PDL) strategy through analysis of drug products, clinical criteria, utilization, pricing, and rebate opportunities
Conduct financial analyses using drug pricing, utilization, and Medicaid rebate data to support formulary and coverage recommendations
Evaluate clinical criteria, prior authorizations, and pharmacy benefit requirements to optimize access, cost, and rebate outcomes
Analyze utilization, expenditures, pricing trends, and supplemental rebate offers to develop client recommendations
Build reports, forecasts, and analytical models using advanced Excel and large datasets
Present findings to clients and committees, translating complex clinical and financial data into actionable recommendations
Collaborate with cross-functional teams to implement PDL, rebate, and pharmacy program strategies
Monitor market developments, validate program data, and maintain accurate analytical documentation

Requirements

What you’ll need

Licensed Pharmacist (RPh or PharmD) in the U.S.
5+ years of pharmacy experience, including Medicaid pharmacy, managed care, PBM operations, formulary management, or related areas
Strong knowledge of Medicaid pharmacy programs, including PDLs, utilization management, prior authorization, claims adjudication, and pharmacy benefit operations
Experience with drug pricing, Medicaid rebates, supplemental rebates, pharmaceutical contracting, and financial analysis
Experience developing or evaluating formularies, PDLs, prior authorization, and utilization management criteria
Advanced Microsoft Excel skills, including analysis of large datasets and financial modeling
Ability to translate clinical, pricing, utilization, and rebate data into sound pharmacy benefit recommendations
Preferred: Experience supporting state Medicaid PDL programs, Medicaid supplemental rebate programs, rebate pools, or multi-state contracting initiatives
Strong analytical and problem-solving skills with experience identifying and reconciling data discrepancies across multiple sources
U.S. work location required

Benefits

Comp & perks

Flexible hours
Work-life balance
Continuous learning and career development
Flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
Up to 10% travel